Individual
MR. CARL PRUITT BAYNE V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
(469) 800-8337
Mailing address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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